scholarly journals Interventions for Nursing Home Residents with Dysphagia—A Scoping Review

Geriatrics ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 55
Author(s):  
Dorte Melgaard ◽  
Albert Westergren ◽  
Conni Skrubbeltrang ◽  
David Smithard
Keyword(s):  
Nursing Home ◽  
Scoping Review ◽  
Oropharyngeal Dysphagia ◽  
Nursing Home Residents ◽  
Original Research ◽  
Publication Date ◽  
Next Of Kin ◽  
Study Designs ◽  
Underlying Diseases ◽  
Taste And Smell

Oropharyngeal dysphagia is common in nursing home residents. The objective of this scoping review was to summarize and disseminate the findings from the literature on interventions for dysphagia in nursing home residents. Searches were conducted in four databases. The criteria for including the studies were nursing home residents, dysphagia, interventions, original research, published in English, Danish, Norwegian, or Swedish with no restriction placed regarding publication date. Excluded were literature reviews, editorial comments, conference abstracts, protocols, papers not available in full text, and studies with a mixed population, for example, geriatric patients and nursing home residents and where the results were not separated between the groups. A total of 14 papers were included and analyzed. The included papers represented interventions focusing on feeding intervention, oral hygiene, caregiver algorithm, stimulation (taste and smell), teaching the residents what to eat, mobilization of the spine, exercises/training, and positioning. This scoping review identifies sparse knowledge about interventions affecting nursing home residents’ dysphagia. But the results indicate that multi-component interventions, including staff training, training of residents, and/or next of kin, might be successful. This scoping review clarifies that there is a need for well-designed studies that uncover which specific interventions have an effect in relation to nursing home residents with dysphagia and can serve as a guide for designing multi-component person-centered intervention studies. Future studies should implement high evidence study designs, define the measures of dysphagia, and quantify the severity of dysphagia, its underlying diseases, and comorbidities.

scholarly journals A Scoping Review of Strategies for the Prevention of Hip Fracture in Elderly Nursing Home Residents

PLoS ONE ◽  
2010 ◽  
Vol 5 (3) ◽  
pp. e9515 ◽  
Author(s):  
Anna M. Sawka ◽  
Nofisat Ismaila ◽  
Ann Cranney ◽  
Lehana Thabane ◽  
Monika Kastner ◽  
...  
Keyword(s):  
Nursing Home ◽  
Hip Fracture ◽  
Scoping Review ◽  
Nursing Home Residents

scholarly journals Effects of a Multifaceted Intervention Program on the Eating Ability of Nursing Home Residents

2021 ◽  
Vol 18 (17) ◽  
pp. 8951
Author(s):  
Mei-Ling Chen ◽  
Chia-Hui Chiu ◽  
Yueh-Juen Hwu ◽  
Shu-Chen Kuo
Keyword(s):  
Nursing Home ◽  
Intervention Program ◽  
Phase 1 ◽  
Oropharyngeal Dysphagia ◽  
Nursing Home Residents ◽  
Multifaceted Intervention ◽  
Multiple Time ◽  
Tongue Strength ◽  
Intervention Period ◽  
Phase 3

Oropharyngeal dysphagia is a common problem for nursing home residents that leads to aspiration pneumonia and malnutrition. Musculature surrounding head and neck and tongue strength are crucial for safe and efficient oropharyngeal swallowing. Oral hygiene facilitates the smooth swallowing. The aim of this study was thus to investigate the effects of a multifaceted intervention program which combines the interactive oral activities, tongue strength training and oral cleaning procedure on the eating ability of nursing home residents. A sequential, multiple time series, single-group quasi-experimental research design was used, and 41 residents were recruited to participate in this study. The study was divided into three phases, each lasting two months. In phase 1, the participants were conducting their usual activities, except that the outcome variables were measured on five occasions to obtain baseline data. Phase 2 was a two-month washout period, and phase 3 was the intervention period. Thirty-six residents completed phase 1, and 34 residents completed the phase 3 intervention period. The eight-week phase 3 intervention program comprised three sessions per day, conducted seven days a week, with each session lasting 15–20 min. Outcome variables were measured at weeks 0, 2, 4, 6, and 8 in phases 1 and 3 to evaluate the feasibility of the program. Following the intervention program, controlling for baseline differences, the patients’ tongue strength, food consumption, mealtime duration, oral health, and dysphagia severity were significantly improved in phase 3 relative to phase 1. These improvements lasted through to at least 2 months posttest. The study illustrates that this multifaceted intervention program may be an effective approach for improving the eating ability of nursing home residents.

scholarly journals Nursing homes during the COVID-19 pandemic: a scoping review of challenges and responses

2021 ◽  
Author(s):  
Shamik Giri ◽  
Lee Minn Chenn ◽  
Roman Romero-Ortuno
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Scoping Review ◽  
Nursing Home Residents ◽  
Well Being ◽  
External Factors ◽  
Related Factors ◽  
Nursing Home Population ◽  
Mesh Terms ◽  
Health And Social Care

Abstract Introduction COVID-19 has caused unprecedented challenges in nursing homes. In this scoping review, we aimed to describe factors that contributed to the spread and mortality of COVID-19 in nursing homes and provide an overview of responses that were implemented to try to overcome such challenges. Methods The MeSH terms “Nursing homes” and “COVID-19” were searched in MEDLINE Ovid, and English language articles were retrieved that were published between 1 March 2020 and 31 January 2021. Article titles and abstracts were screened by two reviewers, and the results of included articles were grouped by themes. Results The search retrieved 348 articles, of which 76 were included in the thematic review. 8 articles related to COVID-19 disease characteristics (e.g. asymptomatic transmission), 24 to resident-related factors (e.g. comorbidities, nutrition, cognition), 13 to facility characteristics (e.g. physical space, occupancy, for-profit status), 21 to staffing (e.g. staffing levels, staff-to-resident ratio, staff multi-employment), and 10 to external factors (e.g. availability of personal protective equipment, prevailing health and social care policies). In terms of responses, identified themes included widespread testing, isolation and cohorting of residents, staff protection and support, promotion of residents’ well-being, and technological innovations. Conclusion COVID-19 exerted severe challenges on the nursing home population and its staff. Both internal and external factors predisposed nursing homes to an increased propensity of spread. Numerous strategies were employed to attempt to mitigate the negative impacts. Substantial learning occurred that may not only aid future pandemic preparedness but improve quality of care for nursing home residents at all times.

scholarly journals Measuring the Quality of Care in Nursing Home Residents with Early-onset Neurodegenerative Diseases: A scoping review

2020 ◽  
Author(s):  
Joyce C.F. Heffels ◽  
Irma H.J. Everink ◽  
Mayke Oosterloo ◽  
Raymund A.C. Roos ◽  
Jos M.G.A. Schols
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Neurodegenerative Diseases ◽  
Scoping Review ◽  
Early Onset ◽  
Nursing Home Residents ◽  
Target Group ◽  
Formal Caregivers

Abstract Background Nursing home residents with early-onset neurodegenerative diseases are often younger in comparison with other residents, and need different, often more complex care. Accordingly, the measurements currently used for measuring quality of care in nursing homes may not be suitable for use in this target group. Little is known about the experiences of these residents and of their (in)formal caregivers regarding the quality of care they receive. Therefore, the aim of this scoping review is to explore which instruments are available for measuring the quality of care for nursing home residents with early-onset neurodegenerative diseases (excluding dementia), from the perspective of the resident and of (in)formal caregivers. Methods A literature search was performed in the databases Pubmed, Embase, Web of Science and Cinahl. The search strategy consisted of four main concepts: neurodegenerative diseases, quality of care, nursing homes and perspectives of residents, (in)formal caregivers. Studies were included if they used instruments and/or strategies to measure quality of care, focused on nursing home residents with early-onset neurodegenerative diseases and the perspective of either the resident or (in)formal caregiver. Results From a total of 809 identified articles, 87 full text articles were screened for eligibility. Five studies were included, only one of which described an instrument. The other four used topic lists and/or themes to measure quality of care. In total, 60 items related to quality of care could be derived. From these 60 items, eight overarching domains were found, with a subdivision into items derived, respectively, from the residents’, informal and formal caregivers’ perspective: ‘emotional support’, ‘physical support’, ‘social support’, ‘care’, ‘care content’, ‘expertise’, ‘communication’ and ‘organization of care’. Conclusions Currently, there are no methods for assessing the quality of care specifically focused on nursing home residents with early-onset neurodegenerative diseases. Therefore, the items retrieved in this review give an overview of important topics for measuring the quality of care for this target group, from the perspective of the resident, and of the informal and formal caregivers. These items might be used to develop a tailored instrument for assessing the quality of care for nursing home residents with early-onset neurodegenerative diseases.

scholarly journals A Stepwise Pharmacist-Led Medication Review Service in Interdisciplinary Teams in Rural Nursing Homes

Pharmacy ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 148 ◽  
Author(s):  
Kjell H. Halvorsen ◽  
Torunn Stadeløkken ◽  
Beate H. Garcia
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Medication Review ◽  
Interdisciplinary Collaboration ◽  
Nursing Home Residents ◽  
Care Plan ◽  
Health Economy ◽  
Case Conference ◽  
Next Of Kin ◽  
Medication Therapy

Background: The provision of responsible medication therapy to old nursing home residents with comorbidities is a difficult task and requires extensive knowledge about optimal pharmacotherapy for different conditions. We describe a stepwise pharmacist-led medication review service in combination with an interdisciplinary team collaboration in order to identify, resolve, and prevent medication related problems (MRPs). Methods: The service included residents from four rural Norwegian nursing homes during August 2016–January 2017. All residents were eligible if they (or next of kin) supplied oral consent. The interdisciplinary medication review service comprised four steps: (1) patient and medication history taking; (2) systematic medication review; (3) interdisciplinary case conference; and (4) follow-up of pharmaceutical care plan. The pharmacist collected information about previous and present medication use, and clinical and laboratory values necessary for the medication review. The nurses collected information about possible symptoms related to adverse drug reactions. The pharmacist conducted the medication reviews, identified medication-related problems (MRPs) which were discussed at case conferences with the responsible physician and the responsible nurses. The main outcome measures were number and types of MRPs, percentage agreement between pharmacists and physicians and factors associated with MRPs. Results: The service was delivered for 151 (94%) nursing home residents. The pharmacist identified 675 MRPs in 146 (97%) medication lists (mean 4.0, SD 2.6, range 0–13). The MRPs most frequently identified concerned ‘unnecessary drug’ (22%), ‘too high dosage’ (17%) and ‘drug interactions’ (16%). The physicians agreed upon 64% of the pharmacist recommendations, and action was taken immediately for 32% of these. We identified no association between the number of MRPs and sex (p = 0.485), but between the number of MRPs, and the number of medications and the individual nursing homes. Conclusion: The pharmacist-led medication review service in the nursing homes was highly successfully piloted with many solved and prevented MRPs in interdisciplinary collaboration between the pharmacist, physicians, and nurses. Implementation of this service as a standard in all four nursing homes seems necessary and feasible. If such a service is implemented, effects related to patient outcomes, interdisciplinary collaboration, and health economy should be studied.

scholarly journals Measuring the quality of care in nursing home residents with early-onset neurodegenerative diseases: a scoping review

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Joyce C. F. Heffels ◽  
Irma H. J. Everink ◽  
Mayke Oosterloo ◽  
Raymund A. C. Roos ◽  
Jos M. G. A. Schols
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Neurodegenerative Diseases ◽  
Scoping Review ◽  
Early Onset ◽  
Nursing Home Residents

Antibody Response to Influenza Vaccination in Nursing Home Residents and Healthcare Workers During Four Successive Seasons in Niigata, Japan

2005 ◽  
Vol 26 (11) ◽  
pp. 859-866 ◽  
Author(s):  
Mizuho Sato ◽  
Reiko Saito ◽  
Naohito Tanabe ◽  
Makoto Nishikawa ◽  
Asami Sasaki ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Nursing Home ◽  
Antibody Response ◽  
Healthcare Workers ◽  
Geometric Mean ◽  
Nursing Home Residents ◽  
Antibody Responses ◽  
Fourfold Increase ◽  
Almost All ◽  
Underlying Diseases

AbstractObjective:To evaluate the antibody response to influenza vaccines in nursing home residents and healthcare workers (HCWs) and its relation to residents' functional and chronic disease status during four successive seasons.Design:Before-after study.Setting:Nine nursing homes during the 1998-1999 season and two during the 1999-2000, 2000-2001, and 2001-2002 seasons.Participants:Two hundred fifty-nine residents and 79 HCWs during the 1998-1999 season; 180 and 71, respectively, during the 1999-2000 season; 162 and 71, respectively, during the 2000-2001 season; and 153 and 79, respectively, during the 2001-2002 season.Results:Multivariate analysis indicated that the mean fold increase in the geometric mean titers (GMTs) of hemagglutination inhibition (HI) antibodies and the response rate (the proportion of vaccinées resulting in a significant, at least fourfold increase in antibody titer) were good and no significant differences occurred for almost all strains in both residents and HCWs. The GMTs of HI antibodies and the protection rate (the proportion of participants with HI antibody titers & 40) were increased in both residents and HCWs, but were significantly lower for almost all strains in residents than in HCWs. Furthermore, multivariate analysis indicated that subdivision of residents into three groups by level of daily activities and into four groups according to underlying diseases revealed only minor differences in immune responses.Conclusions:Antibody responses to the influenza vaccine were lower in residents than in HCWs. However, residents showed similar antibody responses regardless of their level of daily activity or underlying diseases.

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